100 ml of solution contains:

active substances: thick extract of fresh field leaf field (SCOLYMUS L. Schedule) (dosage vegetable raw material / thick extract: 15-30 / 1, extractant: purified water) 20.0 g;

auxiliarysubstances: Ethyl alcohol (2,800 g), alcohol tincture of orange zest (2,800 g), glycerol (E422) (0.180 g), methylpaultydroxybenzoate (E218) (0.092 g), propyl aprichedroxybenzoate (0.046 g), purified water (Q.s. up to 100 ml)

The drug contains ethyl alcohol 3.23 about. %.

Description

Dark brown opaque solution with a light yellowish sediment.

Perhaps the presence of a small sediment during storage.

Pharmacotherapeutic group

Other means used for diseases of biliary tract. The codeAT.X.: A05ah.

Pharmacological properties

Pharmacodynamics

The pharmacological effect of the drug is due to a complex of biologically active substances that are part of the field artichoke. The drug has a choleretic effect and increases diuresis.

Pharmacokinetics

No data.

Indications for application

Traditionally applied to relieve functional disorders digestion and improve the excretory function of the kidneys.

Contraindications

Increased sensitivity to the components of the drug, as well as plants of the Astrov family (complex color), bile disease, obstruction of the biliary tract, acute diseases of the liver, kidney, bile and urinary tract, severe hepatocellular failure.

Pregnancy and breastfeeding

It is possible to use the drug Hofitol during pregnancy and in the period of breastfeeding according to the testimony.

Method of application and dose

For receiving inside.

Adults: 2.5-5.0 ml of solution (1/2-1 teaspoon) with a small amount of water orally 3 times a day before meals or when functional disorders occur. Course of treatment - 2-3 weeks.

Children: 0-12 months 0.3-0.5 ml (5-10 drops), 1-5 years 0.5-1 ml (10-20 drops), 6-12 years 2-3 ml (1/2 teaspoon), over 12 years old - 1 teaspoon 3 times a day.

Special instructions and measuresprecautions

It is necessary to avoid taking alcoholic beverages. The drug contains 3.23 vol. % ethanol, i.e. 130 mg per one-time dose (5 ml), which is 3.23 ml of beer, 1.35 ml of wine at a dose. Harmful to persons with alcoholism. It is necessary to take into account pregnant and nursing women, children and such groups of high risk, as patients with liver disease and epilepsy. If during the reception drug Symptoms of the disease are preserved or a state deterioration occurs, it is necessary to stop the reception of the drug and consult a doctor.

Interaction with other medicines

Interaction associated with the presence of ethyl alcohol (0.13 g in a teaspoon): drugs causing a disulfiram-like reaction (sensation of heat, redness of the skin, vomiting, tachycardia): disulfiram, cefamandol, cefoperazazon, latamochef (antibacterial agents - cephalosporins), chloramphenicol (antibacterial agent), chlorpropamide , glibenklamide, glipisid, tolbulamd (antidiabetic agents, sulfonylurea derivatives), Griestulvine ( antifungal agent), nitro-5-imidazole derivatives (metronidazole, ornidazole, tinidazole), ketoconazole, procarbazin (cytostatic agent);

drugs, inhibiting the functions of the central nervous system.

In the case of simultaneous reception of other drugs, you must consult with your doctor.

Side effect

Allergic reactions are possible, with long-term use of the drug in high doses, diarrhea is possible.

In the event of unwanted reactions, including those not specified in this manual, it is necessary to stop the reception of the drug and consult a doctor.

The drug Hofitol is suitable for the treatment of liver, gently affects the body, improving the condition:

• some organs
• vessels.

The use of medicines helps to lower the level of lipids in the blood. Hofitol works as a means of accelerating bile production. Reception of the drug is allowed even to pregnant women.

Form release

Tablets Hofitol Two-cone, brown. Sold:

1. in cardboard packs 12, 30, 60 pieces;
2. in plastic tubes of 60 or 80 pieces.

The solution for reception inside is:

• dark brown syrup,
• turbid,
• with a precipitate in the form of yellowish particles.

Injection mortar is released in ampoules of five milligrams.

Composition of funds

Extract of field artichoke is the active component of the drug Hofitol. The inactive components include:

• corn starch,
• talc,
• carnubsk wax
• gelatin and others.

Pharmacological effect of Hofitola

Artichoke is a useful plant with pronounced properties by:

• bringing bile
• excess fluid from the body.

Hofitol for the liver, produced on the basis of the extract of this plant:

• reduces blood content in the blood of the carbamide,
• effectively copes with hepatoprotective function,
• improves the production of coenzymes Q10 liver cells, accelerating metabolic processes in the body.

The medicine helps to reduce toxic substances after treatment with antibiotics and other drugs. Hofitol is prescribed to improve metabolism. Medicinal helps to free the body from:

• harmful, nitrogen-containing organic substances,
• heavy metals and their salts
• toxins.

Pharmacodynamics and pharmacokinetics

The action of the complex of vitamins and microelements, which are present in the leaf of artichoke, determine pharmacological properties Medicinal preparation. Conducting observations with the help of the kinetic method and the identification of components involved in metabolism is impossible, since the therapeutic effect of the hood is a common effect of all its beneficial substances.

Indications for the use of Hofitola

Hofithol treatment is carried out in conjunction with other drugs in complex therapy. It is prescribed in case of such diseases as:

Alcoholic beverages should be avoided during the treatment of hofitol.

The drug should be prescribed with care patients who have:

• alcohol addiction,
• epileptic disease
• there is a CMT due to the presence of alcohol in the preparation.

In the early period of pregnancy, the medicine is prescribed to eliminate the symptoms of early historic. During late toxicosis, the drug is accepted in aggregate with others. medical means. The dosage of the medication is similar to the dosage of an adult patient.

mircechni.ru.

Composition and form of release

The drug Hofitol is produced in the following forms:

1. Tablets Hofitol covered with shell. They have the shape of a leaky grain of brown color. Each tablet contains 200 mg active substance. Active ingredient: dry aqueous extract of field leaf field.
2. Syrup Hofitol. 1 ml of the substance contains 200 mg active component. Capacity of one bottle - 200 ml. For ease of dosing, the drug is produced in the form of droplets. Active ingredient: thick water extract of field artichoke field.
3. Hofitol injection solution. 1 ml of chofitola contains 200 mg of active substance. Package content: 5 ampoules, 5 ml each. Active ingredient: purified juice extract. Field leaf leaves.

Clinical and Pharmacological Group: Phytopreparation with a choleretic and diuretic effect that reduces azotemia.

What is the Hofitol applied for?

The drug is used in the complex therapy of dyskinesia of biliary tract of the TSO Hyokinetic type, chronic non-calculous cholecystitis, chronic hepatitis, cirrhosis of the liver, chronic jade, chronic renal failure.

The drug is used in comprehensive therapy various diseases and states:

1. Biliary dyskinesia;
2. Chronic besamen cholecystitis (inflammation of the gallbladder);
3. Chronic hepatitis;
4. Cirrhosis of the liver;
5. Chronic renal failure.
6. Chronic jade.

pharmachologic effect

Preparation of plant origin. The pharmacological effect of the drug is due to the complex of the artichoke of field biologically active substances.

Cinaran in combination with phenolocosloids has a choleretic, as well as hepatoproteek effect. Ascorbic acid, carotene, vitamins B1 and B2, Inulin contribute to normalization exchange processes.

It also has a diuretic effect and enhances the removal of urea.

Instructions for use

The use of the drug in one or another form of release is determined by the patient's age and the nature of the disease.

• Children over 6 years old are prescribed 1-2 tablets 3 times / day before meals. The solution for receiving inside, depending on age, is prescribed in a dose of 1/4 to 1/2 dose used in adults. Course of treatment - 2-3 weeks.
• Adults are prescribed 2-3 tablets or 2.5-5 ml of a solution for receiving inside 3 times / day before meals. Course of treatment - 2-3 weeks.

The need for re-courses of therapy by the drug is determined individually, depending on the indications.

Contraindications

Hofitol and analogs of the drug are usually transferred well, but some groups are contraindicated. Their list is below:

• patients with biliary disease;
• patients with obstruction of the biliary tract;
• patients with diagnosed acute diseases kidneys, liver, urine and biliary tract;
• patients with increased sensitivity to the components of the drug.

The instruction for the hofithol in the form of tablets warns the impossibility of prescribing the drug to children under 6 years.

Side effects

From side digestive system: The development of diarrhea is possible with long-term reception of the drug in high doses. Others: Allergic reactions.

Pregnancy and lactation

The use of hofithol during pregnancy and during lactation (breastfeeding) is possible only under the control of the doctor.

special instructions

Hofitol must be used with extremely caution in pathologies that can potentially provoke the obstruction of the biliary tract, as well as with severe liver pathologies.

The occurrence of abdominal pain and / or diarrhea should serve as a reason for the cessation of treatment and appeal to the doctor.

Analogs

Similar preparations with a close mechanism of action: Allohol, Arnika tincture, Berberin, hepaben, convaflavin, lepton, olielide, Pijmas Flowers, Glocker collect, Tanatschol, Phytohepatol №2 and №3, Flamin, Holyagol, Kevelakh, Holly, Holyas, Kavechol, Cycvalon, Rosehip Fruits.

Prices

The average price of Hofitol in pharmacies (Moscow) 300 rubles.

Terms and Storage Terms

Hofitol should be stored with room temperature. The shelf life of the tablets is 3 years. The shelf life of a solution to inside - 4 years. The shelf life of the injection solution is 2 years.

Conditions of vacation from pharmacies

Hofitol in the form of tablets and a solution for receiving inside is allowed to use as a means of a non-receptible vacation. Hofitol in the form of a solution for injections is released by prescription.

instrukciya-po-primeneniyu.com.

Composition and form of release

It is produced in tablets in the film shell. Also manufactured:

• Injection solution 20 mg / ml, ampoules 5 ml.
• A solution for intake (in the form of a suspension or syrup) in 120 ml dark glass vials.

The composition of one tablet hofitol, from which the drug under cholecystitis helps, consists of 200 mg of dried aqueous extract of Cynara Scolymus leaves (field artichoke), as well as preena corn starch, talc, trisilicate magnesium, magnesium stearate.

The composition of the oral solution: thick water extract of Cynara Scolymus leaf (field artichoke) at a concentration of 200 mg / ml, ethanol 96%, alcohol tincture of orange zest, additives E218 and E216 (methyl aprichedroxybenzoate and propylparaben), glycerin, purified water.

Structure injection solution: Purified Cynara SCOLYMUS leaf extract (field artichoke) at a concentration of 20 mg / ml (100 mg / AMP), as well as distilled water in a volume of up to 5 ml.

Pharmacological properties

The main active component of the composition of the drug Hofitol, from which the medicine is helped during diseases of the liver, are artichoke leaves rich in a complex of vitamins, microelements and other biologically active substances. Due to the actions of phenolocoslot in combination with cinarin, the chofitol has a choleretic and hepatoprotective effect.

Inulin, ascorbic acid, group B vitamins, in particular, B1 and B2, as well as carotine, have a normalizing effect on the organism exchange processes. In addition, important pharmacological effects The drug, according to Hofitol reviews, are strengthening urine removal and diuretic effect of medication.

Solution, drops and tablets Hofitol: from which the medicine helps

Indications include the following diseases:

• dyspeptic disorders manifested by nausea, flatulence, heartburn, feeling of gravity in the epigastric region;
• chronic non-calculous cholecystitis;
• chronic hepatitis;
• dyskinesia biliary tract for hypokinetic type (characterized by the slowdown and lethargy of the outflow of bile);
• cirrhosis of the liver;
• chronic jade.

What does Hofitol helps from yet? In combination with other drugs, field artichoke drugs can be applied to treatment:

• chronic intoxication (salts of heavy metals, alkaloids, nitro compounds, hepatotoxic substances);
• ultrauria;
• urolithiasis;
• anorexia;
• obesity;
• atherosclerosis.

Contraindications

Hofitol and analogs of the drug are usually transferred well, but they are contraindicated to patients with:

• biliary disease;
• obstruction of the biliary tract;
• diagnosed acute diseases of the kidneys, liver, urine and biliary tract;
• increased sensitivity to the components of the drug Hofitol, from which an allergy may occur.
• Tablets are not prescribed to children under 6 years old.

Preparation Hofitol: instructions for use

Pills

Patients older than twelve age tablets are prescribed to take three times a day (before meal) 1-2 pieces in each reception (daily dose from 600 mg to 1.2 g). Treatment, as a rule, lasts from 2 to 3 weeks. If necessary, the doctor may assign a re-course.

Hofitol solution: instructions for use

The solution based on the extract of artichoke leaves is intended for intravenous and intramuscular administration.

Daily dose For patients older than fifteen years - 1-2 ampoules. If necessary, the doctor may increase the dose. Parenterally, the drug is administered for 8-15 days, after which the injection therapy is replaced with an oral solution.

Drops Hofitol: instructions for use

Oral solution is shaken and bred with water. One-time dose for adult - 5 ml (1 tsp). Multiplicity of applications - 3 r. / Day. The duration of treatment depends on the nature and features of the diseases of the disease.

The use of hofitola in pediatric practice

Solutions for oral or parenteral use are prescribed without restrictions on age, tablets - children over six years old.

Indications for use in children are:

• motoric disorders and a decrease in the tone of the gallbladder and its ducts;
• breedless chronic cholecystitis;
• obesity;
• dyspeptic disorders;
• acute or chronic hepatitis;
• skin disease (acne in adolescents, psoriasis, etc.);
• chronic jade;
• oliguria;
• increase the concentration of acetone in the blood, intoxication (salts of heavy metals, nitrates, etc.);
• adhesive hepatosis;
• jaundice newborns;

Children older than twelve age tablets are prescribed to take in the same dose as adults. Daily dose of Tablets Hofitol for children 6-12 years old - 600 mg (dose should be divided into three receptions).

Hofithol injections for children are made once a day. One-time dose for a child who has not reached the fifteen-year-old age - 0.25-0.5 ampoules. Teenagers older than fifteen years, the drug is used in an adult dosage.

The optimal dosage form for newborns are drops. According to the instructions on the hofitol, for newborns it is necessary to measure 5-10 drops of medication for each reception. The drug is given on an empty stomach of 3 r. / Day .. Before you give a child, the throat in the drops, the necessary dose is pre-dissolved in 5 ml of water.

Teenagers older than twelve years 2.5-5 ml of the solution are bred in 1 tbsp. l. water. Children up to twelve years on a similar amount of water take 2-3 (depending on age and indications) of millilita of the drug. Take the specified dose follows 3 r. / Day. 20 minutes before meals.

How to take during pregnancy hofitol and breast feeding?

The optimal dosage of tablets during pregnancy is 500 mg / day. The medicine is usually taken within three weeks.

Intramuscular injections of hofitola make 1 r. / Day. With a dose of 10 ml (the contents of two ampoules). Parenterally drug is introduced no more than 15 days in a row. Then, if necessary, the doctor may recommend switching to the use of oral dosage form.

In the form of an oral solution, the hofitol take three times a day on a teaspoon (5 ml). The course of treatment is usually about two weeks. Data on the safety of the use of funds during breastfeeding period is not provided.

Side effects

As a rule, during treatment with the drug side Effects Does not arise. However, in extremely rare cases, unwanted reactions may occur even with obvious indications for the hofithol and the absence of contraindications. First of all, such a reaction of the body is caused by a long-term drug intake in high doses. Among side effects Allergic reactions and diarrhea are known.

Analogs

Preparations with a close mechanism of action:

• Cycvalon.
• Flamin.
• Pijmas flowers.
• Phytogeptol.
• Leptera.
• Holyagol.
• Olymethine.
• Allohol.
• Berberin.
• Arnica tincture.
• Rosehip fruits.
• Convaflavin.
• Tanatschol.
• Hepaben.
• Kavechol.
• Glocker collecting.
• Hollow.
• Holyas.
• Helleak.
• Artichoke extract.

What is better - Allohol or Hofitol?

Allohol, like Hofitol, is intended for the treatment of liver pathologies and biliary tract. Its basis are activated coal (enterosorbent), bile, bulbs of garlic sowing and leaves of nettle dwarm. The choice in favor of Hofitola is done in situations when the patient is simultaneously diagnosed with liver pathology.

Price where buy

In Moscow, buy Hofitol at a price of 424 rubles. In Kiev, the agent is implemented for 98-277 hryvnia. In Minsk, the medicine costs 11-40 Belarusian rubles. In Kazakhstan, its price reaches 4335 tenge (№180 Tablep.O.).

Reviews

If you explore your doctors left about Hofitole, we can conclude that the tool is effectively in chronic cholecystitis and, in addition, well "works" when the liver functioning disorders. As a hepatoprotector, the drug is most often used to eliminate the effects of toxic liver damage (including medicinal).

Reviews of the treatment of children

The forums are also often discussed by the feasibility, safety and effectiveness of the purpose of Hofitola for children (in particular for newborns). The eldest children are prescribed for the treatment of diseases of biliary tract and gallbladder, as well as to eliminate dyspecic symptoms, newborn children - for the treatment of physiological jaundice.

Horophytolis for children suggests that the drug not only copes very well with the task, but it is very well tolerated by small patients. In addition, the drug is very convenient for use and it is easy to dispense, which is very important when it comes to the treatment of infants.

For newborns - reviews are this confirmation - the drug is prescribed mainly in cases where physiological jaundice remains in a child for a long period.

The timely use of hofitola for newborns contributes to the normalization of the liver function and biotransformation of an insoluble toxic indirect bilirubin into a non-toxic straight line. Moms of young children note that the baby's bilirubin decreased on average to the ninth day of life, and by the end of the second-third week the symptoms of jaundice completely disappeared.

"On the Internet, I read that Hofitol is also discharged from an excessive weight gain during pregnancy, edema. I didn't have any problems before receiving tablets, but after the start of their reception - I did not notice the diuretic effect, I did not notice the weight of the diuretic effect More. So from this they help not everyone. There are advantages - pills of a pleasant taste and small size. "

"Big plus Tablets" Hofitol "(in my case) - this is what really contributes to the normalization of metabolic processes. That is, they soften what is important during pregnancy, because the fruit presses the intestine and often arise with a chair. Such a problem Tablets did not occur.

The great minus of the Tablets "Hofitol" (in my case) - this is what during their reception my appetite increased, I wanted to constantly eat and, in the end, for almost a month, the Tablets scored 3.5 kg. "

"I also drank them into pregnancy, but there was no such appetite ... Perhaps this features of medication perception by the body"?

"I drank them the first 16 weeks of pregnancy almost constantly - terrible toxicosis was, only they saved."

"The artichoke drank pregnant women still in ancient Rome! To remove toxicosis and improve the nutrition of the child with oxygen through the placenta."

remedy.ucoz.ru.

Hofitol - the drug produced by the French pharmaceutical firm has vegetable origin: this is an aqueous extract (extract) from the leaves of the field of artichoke field.

This drug restores liver cells, has a choleretic effect, a non-viewed diuretic effect, helps to reduce the level of urea in serum. The drug normalizes the production of enzymes with hepatic cells, due to which the exchange of cholesterol and fat exchange is normalized. In a complex with other drugs, it causes the removal of toxins from the body, heavy metals and nitrates.

Hofitol contains trace elements, vitamins (C, B1, B2, carotene), biologically active substances in high concentrationwhich contributes to the normalization of metabolic processes in the body. The drug can be prescribed at any age, treatment can be carried out outside the hospital.

Hofitol found an application in gastroenterology, dermatology, cosmetology, nephrology and obstetric and gynecological practice. The advantages of the drug are: a wide range of therapeutic action, possessing a soft hepatoprotective and diuretic effect, almost complete absence adverse Reactions, minor toxicity and possibility of use over a long period without complications.

Already after a 2-week taking medication, an improvement in overall well-being occurs, the appetite and sleep is normalized. During the month, the reception of the drug leads to a subjective and objective improvement in the state of 80-90% of patients; In 10-20% of patients, though the manifestations of the disease are preserved, but they are significantly less pronounced. The drug is well tolerated by patients.

Forms of release

Tablets Hofitol at 0.2 g - No. 60 and No. 180 tablets in one package.

Hofitol solution for internal reception (in the form of a syrup or suspension) of 200 ml (in 1 ml - 200 mg). For newborns Chofitol children - drops in 200 ml bottles with a dispenser. The solution contains ethyl alcohol (in minor quantity).

Hofitol solution for injection - 5ml in ampoule (in 1 ml - 200 mg), 5 ampoules per pack.

Instructions for the use of hofitola

Indications for use

Chronic hepatitis (liver inflammation) various etiology: viral, toxic, alcoholic;
initial stage liver cirrhosis;
fatty hepatosis (substitution of hepatic cells with fat cells);
Besamen chronic cholecystitis (inflammation of the gallbladder);
Comatous state and high level of acetone in the blood;
atherosclerosis;
toxicosis during pregnancy (early and late gestosis);
fetoplacentage insufficiency, delay in the development of the fetus;
intoxication for infectious disease, poisoning nitrates, alcoholic beverages, salts of heavy metals;
reduced motor function (dyskinesia) of biliary tract and gallbladder;
Reducing diuresis (daily amount of urine) in the pathology of the heart and liver;
Easy degree of CPN (chronic renal failure);
inflammation of the kidneys (nephritis) and urinary tract (pyelonephritis);
obesity and cellulite;
Pink acne in demodecosis;
psoriasis;
Onichomicosis or fungal disease nails (as part of comprehensive therapy);
Dyspeptic manifestations: Openings "sour" or "rotten", bloating, nausea.

With extreme caution, it should be treated with the purpose of the drug, if the obstruction of biliary tract is not excluded.

Contraindications

Obstruction of biliary tract;
cholelithiasis;
acute stage of gallbladder and liver diseases;
acute stage of diseases of the kidneys and urinary tract;
renal and hepatic insufficiency of severe;
Individual intolerance to any component of the drug.

Side effects

Side phenomena appear after long use or taking the drug in high doses:
1. Minor challery; With the continuation of the reception of the drug may develop diarrhea.
2. Allergic manifestations in the form of urticaria, swelling swelling (swelling of the skin and subcutaneous fiber).

Treatment of Hofitol

How to take Hofitol?
Depending on the disease, the age of the patient and the form of the release of the drug, the throat can be used inside in the form of tablets and a solution (syrup) and in injections (intramuscular and intravenous). Inside the drug is used before meals; The solution should be shaken up before use.

Hofitol does not affect the speed of the reaction and the concentration of attention, so during treatment there are no professional restrictions. With caution, the hofitol should be used in the form of droplets in persons treated about alcoholism, because Ethyl alcohol is part of the drops.

Dosage Hofithola.
Adult patients depending on body weight is assigned to 1-2 tablets 3 p. in a day. The dose of hofithole in the form of a solution for internal reception is 3-5 ml (0.5-1 tsp) 3 p. in a day. The course of treatment lasts 2-3 weeks. In some cases, the doctor can extend the treatment up to 1 month.

Hofitol in injections is introduced at a dose of 5-10 ml per day, once. If necessary (depending on the severity of the state), the doctor can increase the dose and the number of administrations up to 2 times a day. In injections, the hofithol is usually administered within 1-2 weeks, and then go to the form of release of the drug for internal application.

Hofitol Children

Hofitol is also applied in pediatric practice.

Indications for the purpose of Hofitola Children:
jaundice newborns;
hepatitis (acute and chronic);
chronic cholecystitis (non-calculous);
adhesive hepatosis;
reduction of motor activity (discsion) of the gallbladder and biliary tract;
an increase in the level of acetone in the blood;
cirrhosis of the liver;
poisoning (nitrates, salts of heavy metals, etc.);
chronic jade;
Reducing the daily amount of urine;
chronic renal failure;
Skin diseases (psoriasis, acne in adolescents);
obesity;
Dyspeptic disorders (bloating, nausea, belching).

Even for newborn children, Hofitol is completely harmless. With proper dispensing, the drug does not cause adverse reactions. Jaundice of newborns is significantly reduced, or even disappears after 2-3 days of treatment. After the disappearance of symptoms, it is recommended to continue receiving the drug for another 7-8 days.

The dosage depends on the age of the child. Up to 6 years of age, the hood is not applied in the form of tablets. From 6 years to 12 years, 1 tablet is assigned to 1 p. in a day; Children over 12 years old - 1-2 tablets 3 p. in a day.

The kids of the first year of life uses a hood in the form of droplets: 5-10 drops of a solution for internal reception add to 5 ml of water and taking on an empty stomach 3 p. in a day.

Children from 6 to 12 years old, hofitol is prescribed in drops of 2-3 ml (or 0.5 tsp or 40-60 drops) with 15 ml of water (empty stomach).

Teenagers from 12 to 18 years old - 0.5-1 tsp. With 15 ml of water 3 p. in a day.

Injections of Hofitola for children up to 15 years old: 2.5 ml (half of the ampoule) or 5 ml of 1 p are injected. per day. If necessary, increase the dose treatment is carried out in the hospital under the control of the doctor.

Hofithol treatment course usually lasts 2-3 weeks.

Despite the seeming safety of the drug, it is impossible to engage in the self-treatment of children.

Hofitol during pregnancy and lactation

In the early periods of pregnancy, the hood is used in the aim of the prevention of late gestosis. FROM therapeutic goal The drug is used as part of comprehensive therapy in the development of late gestosis (preeclampsia, edema, with raising blood pressure, appearance in the urine of protein). Doses of hofitola during pregnancy do not differ from dosages to adult patients. If adverse reactions occur, the drug is immediately canceled. Pregnant treatment is carried out for its intended purpose and under the control of the doctor.

Clinical data on the results of the use of Hofithol with breastfeeding not.

Medicinal interaction

Data O. medicinal interaction Hofithola in the manufacturer's instructions are not specified. Clinical data on the interaction of drugs is also not available.

Analogs of Hofithola.

Xofitola synonyms having the same composition: cholebil, artichoke extract, artichoke leaves extract.

Analogs (preparations with similar action): apparatus, heptral, oxafenamide, hepatitol, raffaholin c, hexal, hexal extract, flamine, artichol, holieve.

Treatment of adults and children of all ages should be the most secure and efficient as possible. Hofitol is a means of plant origin, which is based on the action of field artichoke (leaf extract), useful for liver cells and having diuretic and choleretic properties. The price of the medicine is available to all categories of the population. There are also cheap analogs of funds.

Description of the drug Hofitol.

The drug is prescribed for diseases of the gastrointestinal tract, to restore the immune forces of the body after severe diseases, as well as with the need to remove from the body. harmful substancesBlood contained.

The medicine is harmless even for newborn babies. Release it in the form of droplets and tablets. The main property of hofitola is the naturalness of the components that are part of it, due to which the safety of use is achieved in the absence of allergic reactions.

Structure

It consists of a hofitol from the extract of field artichoke leaf, ascorbic acid, carotene, inulin, vitamins B1 and B2, flavonoids, cinarin with catering and cinous acids.

Plant extract has such actions:

• choleretic (removes excess bile from the stomach, improves the operation of the gallbladder);
• hepatoprotective (restoring cells and liver functions);
• diuretic (diuretic);
• metabolitical (restores metabolism);
• removes toxic substances (salts of heavy metals, alkaloids, nitrate compounds);
• reduces increased content nitrogenous substances in the blood;
• it is a detoxicant when conducting antibiotics therapy.

Hofithol is represented by several dosage forms: a solution (120 ml) solution and tablets (200 mg). Meets also injection form The drug, which is used, if necessary, in the hospital.

Properties

The positive qualities of the drug include a minimum of adverse reactions, affordability, as well as:

• quick therapeutic result;
• ease of use and determining the dosage;
• application in children of all ages (and newborns);
• selection of dosage form (drops or tablets);
• the ability to purchase a medicine in any pharmacy of the city.

By cons of the drug include a somewhat bitter taste and a peculiar smell, but if you try to give a child a medicine with any sweet syrup, then this problem is completely solved.

Hofitol is prescribed at:

• jaundice newborns;
• infectious diseases that have given complications for the liver (hepatitis, intestinal infections);
• dyskinesia of biliary tract;
• frequent acetomical states (due to a rare diathem form or bodybuilding disorders);
• chronic non-roll cholecystitis;
• psoriasis (in the period of exacerbation);
• stomach problems (dyspepsia);
• overweight, etc.

The components of the drug components may occur allergic reaction In the form of a rash on the skin (urticaria), challenge chairs, so the purpose of Hofithol is better to provide a doctor. Knowing the peculiarities of the patient's body (based on the history of disease in the medical record), the specialist will tell you exactly, whether the drug will be needed in this particular case.

The correct dosage of the hofithol of allergic manifestations does not cause. The course of the child's treatment is prescribed by a pediatrician and lasts up to 3 weeks.

Cost in pharmacies

The price of the drug is accessible to all categories of the population. Vibrations at cost depend on the region of the Russian Federation and will be on average (in rubles):

• solutions - from 200 to 570;
• tablets (60 pieces) - from 215 to 840;
• tablets (180 pcs.) - 520-1070.

In the Moscow region, the value of the Hofithol solution will be from 440 rubles, and in tablets - 262 for 60 pieces. Medication for injection (100 mg) costs from 450 rubles. Packaging is represented by five ampoules (5 ml).

The drug is released without a recipe (except for the option in injections)Before applying is needed by a doctor. Hofitol is made by Rosa-Phytofarma, France.

Cheap analogs

The drug has a lot of analogues of Russian and foreign production with similar or similar effect. The extract of artichoke leaves is part of each of the analogues in different proportions, often combined with other plant components.

For kids

Many drugs are single-type counterparts. The most popular is:

1. Allohol (Table) - 10 and 50 pieces in Blisters, LLC Agrofarm, Ukraine.
2. Allohol (10, 50 and 180 pieces) - Borschagovsky HFZ, Ukraine.
3. Artichoke extract-health in capsules (100 mg) or a solution of 100 ml, "Health", Ukraine.
4. Artichok-Astrafarmv capsules (100 mg), Astrafarm, Ukraine.

Herbion or Bondjigar syrup (120 ml), Pakistan, can be used, but many parents prefer domestic analogues and products of the CIS countries.

For adults

The main analogues of Hofitola are cholebil and artichoke of leaves extract of Russian pharmaceutical companies.

The drugs of such actions include: Flamin, Otleon, Rafacholin C, Hepifitol Oxafenamide, Artichol, Holyver, etc.

Such analogs are widely used:

1. Artichol (400 mg) "Kiev Vitamin Plant", Ukraine.
2. Sandoz artichoke (300 mg) "Salutas Pharma GmbH", Germany.
3. Gear-Pos Capsules (400 mg) to 50 and 100, Ursafarm Arznaimizer GmbH and Co., Germany.
4. Hepacinar capsules (400 mg) of 20 pieces, "Phytofarm Klenka S.A.", Poland.
5. Herbion, Pakistan prize LTD, Pakistan.

There are still a lot of other medicines, but all of the above are the most encountered.

Before applying any analog, you must consult with a specialist.

Russian or foreign?

The modern pharmaceutical market of hofitola analogues is represented by a large assortment. So, for example, only Allohol pills in the Russian Federation are produced by Pharmstandard city of Tomsk, "MoschimFarPreparations", as well as "biosynthesis".

Applies as well:

1. Holenzim (50 pieces tablets), "BelmedPreparats", RB and the Russian Federation.
2. Artichoke extract, Sandoz, Germany.
3. Bilicur, "Salyutasfarmagmbh", Germany.
4. Cinaarix Forte (600 mg) - 30 and 90 pieces, "Pharmaceutical Montavit Factory", Austria.
5. Hapepitolzao Evalar, Holenzim (Tablets No. 50), Biosynthesis, RF.
6. Artichoke Organic Fito "Phyto Pharma", Vietnam.
7. Artibel (200 mg), "Brunamekzz.p.R.L.", Belgium.

Many drugs, along with the artichoke, can contain in their composition barberries, grained, radish seeds, licorice root, spa, chicory, ramphist, smoke, mint, corn storks, pyrhem, dandelion roots, etc.

Comparison

Price

If you compare the drug itself with foreign analogues, then its cost is more acceptable and available from domestic manufacturers.

For example, Hofitola capsules (90 pieces) of Now Foods (USA) cost 1762 rubles, and the Syrup of the Swiss company Vivasan (500 ml) is at a price of 1802 rubles.

For comparison: Russian artichoke - Extra (500 mg of 30 capsules) of the company "Pharmorkhodakshn" is sold in pharmacy networks from 168 rubles, and the artichoke extract (20 and 60 tablets) "Evalar" (RF), respectively - 109 and 252 rubles.

Chofitola's cheapest analogues are Allohol and Holosas. The price of these drugs begins from 15 rubles and does not exceed 150 rubles in different regions of the Russian Federation. Preparations are presented in tablets and syrup. The effect of containing substances is similar to the original.

Allohol in the tablets of the company "Pharmstandard" Tomsk, "MoschimfarmPreparats", Biosynthesis, the Russian Federation go in terms of 16 and 30 rubles per blister.

Structure

As mentioned above, all the analogues of the hofitola are similar in its pharmaceutical composition and action. They are based on the action of artichoke leaves and go in combination with other medicinal substances from the extracts of herbs and roots. Good analogues Doctors consider cholenzim, cinarix phytgeptol, cinarin, salvat.

For example, those components have analogs from world companies:

1. Herbion (30 ml), Slovenia (immortelle, coriander, mint, yarrow, artichoke).
2. Polyfitol-1 tincture (100 ml), Ukraine (artichoke, mint oil, radish, activated carbon, dehydrocholic acid).
3. Rafacholin C (Tablets, No. 30), "Herbapol", Poland (Britain, Crushshk, Mint, Grass and Roots of the Dandelion, Readeques, Chamomile, Shandra, Artichok).

Allohol is presented with such a composition: bile, garlic, nettle, activated carbon.

Hepabenz-capsules (30 pieces), Germany, consist of: artichoke, mint, reurenik, chamomile, cumin.

All medicines have choleretic and hepatoprotective actions. Additional substances in the form of ascorbins, carotene, vitamins B1 and B2, as well as inulin contribute to the normalization of metabolism, purification from toxins and diuretic action.

Efficiency

The best analogue is considered to be pills with Holenzim (50 pieces), "BelmedPreparats", RB, or Biosynthesis OJSC, the Russian Federation, which in its composition have artichokes, bile and turmeric.

With individual intolerance of the artichoke, children can be appointed by Hawaas ("Himfarm", the Republic of Kazakhstan or Biostimulant, Ukraine), which contains a richberry extract and is well chasing bile, strengthens the immunity and restores the functions of the gastrointestinal tract.

The taste of Bolshasa very likes the children, and in terms of the action and influence on the body no different from Hofitola. But still, the original has its advantages.

Hofitol is vegetable drug Treatmentwhich is widely used in the pathologies of the liver and biliary tract. High safety for the body combined with efficiency in any case require that the instructions for use will be studied for the purpose of rational medication. Additional prices about prices, analogues of Hofitola in Russia, as well as reviews of patients and doctors allow you to make an rational choice to each patient.

Structure

The medical preparation includes medicinal vegetable raw materials - artichoke extract. The amount depends on the output of the product:

• 200 mg of dry extract - in one tablet;
• 20 mg of thick extract - in 10 ml of solution.

Additional components of the preparation in tablets are the following:

• mG silicates;
• starch;
• rosin;
• talc;
• sahara;
• waxes;
• polysisses;
• iron oxide.

Additional ingredients in the solution:

• ethyl alcohol (in solution);
• tincture of orange zest;
• water;
• benzoata.

Forms of release

Manufacturer Galenik Vernin (France) Releases Hofitol (MNN Chophytol) in two comfortable forms:

1. Tablets for oral applicationwhich are covered with a shell and are brown. Packaging 60 tablets (on blisters) and 180 tablets (in plastic tubes).
2. Solution (drops) for internal use of dark brown with a valid yellow sediment. In one hood bottle in drops - 120 ml of a solution that needs to be breeded with water before taking.

Official instructions for use The manufacturer invests in each original packaging of the drug.

pharmachologic effect

The pharmacological group of drugs to which Hofitol belongs is the means that affect the digestive system (liver, biliary roads) and the metabolism in the body. The clinical activity of the drug is provided by the mechanisms of action of artichoke extract. Main types pharmacological action The drug is as follows:

• choleretic;
• diuretic;
• restoration of liver cells;
• reducing the concentration of urea in the blood;
• improvement of metabolism;
• the removal of toxins from the body.

Indications for use

Thanks wide spectrum Actions The drug is used in the therapy of many pathologies, which, according to the description of the manufacturer relate to the testimony for use:

• hepatitis (chronic forms);
• liver cirrhosis;
• cholecystitis of non-calculous type;
• dyskinesia biliary tract;
• nephritis chronic type;
• chronic cystitis (in combination with other medicines);
• kidney failure ( chronic form). In renal pathology, the hofitol helps from edema due to the diuretic effect;
• toxicosis, including during pregnancy;
• intoxication of the body;
• metabolic disorders, including obesity;
• integrated allergy therapy;
• disps disorders associated with disadvantage of bile enzymes. Hofitol helps from nausea, attacks of vomiting, with constipation, heartburn, diarrhea in combination with other means;
• skin diseases that may be provoked by disorders of the gastrointestinal tract (psoriasis, eczema treats from acne in a complex with other drugs).

Contraindications

Contraindications to the appointment and use of hofitola include such violations:

• high sensitivity to the drug;
• blockage of bile ducts;
• cholangitis;
• suppuration in the bustling bubble;
• stones in the bustling bubble;
• liver disease in the acute stage;
• disadvantage of cooking in acute form;
• kidney disease (sharp stages);
• children's age up to 6 years (tablets) and up to 12 years old (a solution that is not prescribed to small children);
• obstruction and blocking of urinary tract.

Instructions for use

Tablet reception scheme (dragee):

Hofitol should be taken 15-20 minutes before meals. It is necessary to drink at least 50 ml of pure water. To swallow the tablet is entirely. It is important to distribute evenly during the day: until lunch (in the morning), at lunch and evening (after lunch).

Children from 6 to 12 years old, Hofitol is prescribed 1 tablet three times a day. The average duration of the course of treatment is 3 weeks.

Children after 12 years and adult patients are prescribed 1-2 tablets (depending on the severity of the state) three times a day. The reception duration is selected by the attending physician and is at least 2-3 weeks.

Ways to use droplets:

Before starting reception, it is important to shake the contents of the bottle. Hofitol in this form is applied only after pre-dilution with water.

Children from 12 to 18 years motherwise dose It is a 0.5-1 teaspoon of a solution divorced in a tablespoon of water room temperature. Take itch three times a day - in the morning, before dinner and dinner. Hofitol drops for children, including newborns and infants, are not prescribed.

Adults (over 18) dosage is a teaspoon of a solution divorced in a tablespoon of pure water. Take you need three times a day evenly before meals.

The duration of therapy is selected by the doctor and depends on the severity of the disease.

Overdose

When receiving elevated doses of the drug, not a pronounced unwanted symptoms noted. In the annotation of the manufacturer it is indicated that the effects of overdoses may be reinforced by side effects. Tactic assistance to the patient - symptomatic.

Side effects

Side effects develop more often with long-term reception of the drug and the ability of dosages. The most frequent are the following:

• stool disorders;
• pain in the abdomen of a spastic nature;
• ethanol poisoning (for solution);
• digestion disorders;
• heartburn;
• nausea;
• skin manifestations of allergies.

Despite the fact that these violations are indications of the use of the tool, with incorrect dosing the patient's condition may worsen. Before you start, it is important to explore how to make a drug correctly.

Interaction with other means

• drugs causing when combined with ethyl alcohol feeling heat, tachycardia, violation of the heart rhythm, nausea;
• tools that affect the nervous system.

Hofitol in tablets (according to Cidel directory) is compatible with all medicines.

During pregnancy and lactation

Hofitol is prescribed during pregnancy only at the attending doctor. It conducts an evaluation of exceeding the use of risks. The duration of therapy is also selected individually according to the indications.

Hofitol, especially liquid, under the control of the doctor is prescribed with breastfeeding (GW) during the lactation of a woman. When breastfeeding, against the background of treatment, it is not necessary to stop feeding.

Important! The drug is unacceptable.

With alcohol

For the period of treatment it is important to abandon the use of alcoholic beverages. In the interaction of hofitol with alcohol, it is possible to reduce the effectiveness of the drug due to the irritant effect of ethanol on gastrointestinal. Hofitol in the form of droplets (contain alcohol) and alcohol are distinguished by low compatibility, since the toxic effects of ethyl alcohol on the body can be enhanced.

Analogs

Pharmaceutical industry produces a number effective tools Based on artichoke, which are synonyms and substitutes (generics) of Hofitola. The list of such drugs got the following:

• Artichol;
• artichoke extract;
• Gear;
• Cinnarix;
• Hepaciner;
• Artibel.

Hofitol (Khodnotol) differs from the specified drugs by the manufacturer and quality of the feedstock. The differences (difference) between the specified means on action are not.

There are a number of drugs that can be considered a replacement of the drug for rendered, but differ in the active substances:

Replacing drugs should be carried out only by the attending doctor.

Shelf life

Hofitol solution is stored for 4 years from the date of release. Tablets differ than 3 years. After the end of the specified period is prohibited from the use of the drug.

Terms for sale and storage

The drug refers to a non-prescription and is subject to vacation from pharmacies without providing a doctor's prescription written on latin. Despite this, self-treatment is undesirable. Therefore, you should have a doctor appointment indicating international name active substance and medicinal product in Latin.

Store the drug should be at room temperature (no more than 25 ° C), away from the access of children and direct sunlight.

special instructions

It should be cautious to prescribe the drug to persons with intolerance to dyes and sugars, which are part of the medicine. Before receiving the means in drops, you should make sure that the patient does not prohibit the treatment with the basis of ethanol.

Hofitol drops affect transport management, so if necessary, this form can be replaced with tablets that are characterized by high safety.

The phytopreparation, that is, a medicine made from vegetable raw materials with an effective urological action, this is how the hofithol instruction instruction defines. This phytosteria produces pharmaceutical firm "Laboratoires Rosa-Phytopharma" (France).

Raw materials for medication are the leaves of a perennial plant artichoke field. The price is not very high on the hood, and its action on bile, liver and kidney is quite effective. Thanks to this source material, the medication is a practically non-toxic means with a small number of contraindications and side manifestations.

It is used by Trojko: as a medicine, for prevention and in order to manifest certain symptoms. For the drug, Hofithole instruction allows its purpose in a wide age range. Therapy with the use of this means can be carried out optionally in the hospital. Taking into account the above, Hofithol reviews are mostly positive. You can buy hofitol without difficulty, because the pharmacies sell it without a recipe.

Total characteristic of the drug

Today, the voiced drug is used in such areas of medicine as: cosmetology, dermatology, gastroenterology, gynecology and in some other medical regions. This drug has a beneficial effect on the restoration of the structural elements of the liver and allows to reduce the level of urea in the blood.

It leads to normal the secretion of enzymes of liver cells, thus normalizing and fat metabolism, and cholesterol levels. The advantages of drugs include a wide healing range as well as:

1. hepatoprotective property;
2. easy diuretic effect;
3. long application;
4. the affordable price, on which you can buy hofitol;
5. cleaning function;
6. stabilization of metabolic processes;
7. lack of complications.

The purification function is to withdraw from the body, with joint use with other, intended for this medication, nitrates, salts of metals with a large atomic weight, various toxic substances. High level Contents in the preparation of Bav (substances active from a biological point of view), a line of various vitamins and minerals, in their integral action corrected the flow of metabolic processes to the norm.

Thus, the two-week course of use of the drug restores healthy sleep and appetite, improving overall well-being. With an increase in the first period of therapy, about 90% of patients feel improved their condition, which is confirmed by objective indicators. For Hofitol, the price of the pill is such that it does not annoy the wallet, and therefore the psychological positive contributes to recovery additionally. The medicine is transferred to patients easily, without difficulty.

Form release

The medicine offers on the shelves of pharmacies in solid and in liquid form. Solid hofitol - tablets, in shape resembling lentils. They have a brown sheath. When cut, you can make sure that the contents of the same color. Tableted medstation is implemented in blisters and tubes placed in a box of cardboard. Each such box may contain 60 tablets or 180 tablets weighing 200 mg without additional substances. In the first embodiment, it can be 5 blisters, 2 blisters or one plastic tube.

The number of pills in the blister is easily calculated. In the second case, the box contains either 6 blisters or one tube. Unfortunately, the tableted product, except for dry water extract, contains additional not so useful components, including dyes. Part of these ingredients make up the shell of the tablet.

The drug produced in liquid form, that is, a hofitol solution Instructions for use differentiates to the parenterally used and used inside.

The box places 5 ampoules of 5 ml of solution in each ampoule. Medicreparat Hofitol Instructions for use The intake solution describes as a dark completely opaque fluid having a brownish shade.

The spill is carried out on dark glass bottles, in which a yellowish color is precipitated during long-term storage. The bottle accommodates 200 ml of liquid (40 g of the active substance and about 6 g of additional components). Hofitol drops by instructions for use for children are allowed to use at any age. For newborn and chest carappows, this is the only permitted form of the medication. Flakes for such patients are produced with the dispenser.

Contraindications and side effects

Application of this medical agent For women in the position and during breastfeeding period, only under the supervision of the doctor is allowed. Hofitol Tablets Instructions for use prohibits to prescribe to children up to 6 years. Among the contraindications also indicate the following states:

• the presence of stones in the gallbladder;
• stenosis or blockage of biliary tract;
• acute form of diseases of the hepatobiliary system and kidneys;
• severe liver failure;
• allergic phenomena associated with the use of the drug.

Excessive doses of drugs used for a long time, without coursework, can lead to spasms of intestinal muscles, emissions of the contents of the stomach in the esophagus, nausea, diarrhea and other gastrointestinal disorders. Possible also skin itch And urticaria. With proper use, the drug is absorbed without problems.

Hofitol, if combined with other drugs, can be used to treat chronic hepatotoxins intoxication. And in the case of stones in bladder bubble, atherosclerosis, ulatura, anorexia and even obesity. The drug is shown in the presence of the following diseases and conditions:

1. dyspeptic problems;
2. cholecystitis without stones;
3. hepatitis or jade in chronic form;
4. liver cirrhosis;
5. hykokinetic dyskinesia of biliary tract.

The choice and use of tablets, syrup, drops or injections is determined by the type and form of the disease and the age of the patient. Syrup when used must be prepared. Reception is carried out before meals. Adult dose is 1-2 reception tablets depending on body weight. This is a three-time use in front of breakfast, lunch and dinner.

The norm of the solution depending on the weight of the patient can be from half to one teaspoon of the syrup 3 times a day. One ampoule for injection is the maximum daily dose with a standard course of the disease. The course of treatment with the drug should not exceed 3 weeks, if possible possible exceptions.

How to enroll in the relevant situation always decides the doctor. For Hofitol, instructions for children, as we already know, allows you to use tablets after 6 years. Indications for the use of the drug, except those mentioned above are the following diseases:

• jaundice newborns;
• reducing the daily amount of urine;
• ketonemia;
• and acne;
• fat hepatosis.

Doses of medication depend on the age period. From the permitted age up to 12 years, the norm is 1 tablet 3 times a day. After 12 years, the maximum shifts to 2 tablets.

Hofitol instructions for use for children drops doses like 5-10 drops by 5 ml of water 3 times a day. From 6 years before doubling the age, one-time dose is 50 ± 10 drops on 15 ml of water. The medicine is considered non-hazardous even for newborns and babies. The limit of injection input drugs up to the 15th summer is half an ampoule once a day. In all cases, when the dose needs to be corrected in a large direction, the treatment must be carried out in stationary conditions under medical control. The airplane of children to engage stricter is prohibited.

Cost of preparation

For the Tablet Tablet, the price has a price for 60 piece packing from 200 to 350 rubles. Accordingly, 6 30-piece blisters can tighten up to the value in the range (550-750) rubles. Tableted goods are released without appointing a doctor. For the drug Hofitol, the price instruction is explained. In other words, the price depends on the form of the release of the drug. So, 200 ml of a solution bottle can cost from 300 to 350 rubles. He just like pills is released without a recipe.

Injection Hofitol with instructions for applying the inconvenience of constipation in an interesting position. There are reviews about the effectiveness of the use of the drug during hepatitis, bile diseases, psoriasis. And such positive feedback on many medical has the highest, lying within (2300-2400) rubles. And to purchase it without a prescription is difficult.

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Preparations of similar action

For medservation, hofitol are cheap analogues in small quantities. For example, you can call synonyms for medication: artichoke extract and artichoke leaves extract. The same composition has a cholebil.

It can be listed for medservation of hofitol analogs in the form of a short list of medicines of this action:

• Flamine; Artichol; Apparent;
• Holyagol; Tanatschol; Cycvalon;
• Holyas; Holyagol; Helleak.

The popular analogue of Hofitol has in the face of Allhol. Both drugs are choleretic extremes. And the other stimulate the production of bile and its destruction. But, unlike Allohola, the hofitol has also a protest effect.

A brief overview of feedback

The overwhelming majority of reviews about this medicine are positive. A large plus of medservation is its low-toxicity. Hofitol instructions for use characterizes as a medicine appointed even to women in the gestation period. Therefore, among them and pregnant reviews who took the toxicosis in the first trimester of pregnancy.

According to their testimony, (later they gave birth to healthy children), Hofitol also helps to eliminate all negative consequences. Among negative responses occurring sometimes, you can find complaints of pain in the right hypochondrium and vomiting after the first tablet, which seems doubtful.

In conclusion, you must say the following. All information about the drug is intended for familiarization and is not a guide to action. Before use, you must always seek a consultation to the doctor.

Find out of the video. What are the safe choleretic means For applying at home.